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Publication
A relação entre o estigma externo e interno e os comportamentos autolesivos: Impacto das barreiras familiares sobre os comportamentos e o pedido de ajuda
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Authors
Advisor(s)
Abstract(s)
Os objetivos deste estudo foram três: 1) investigar como o estigma e as barreiras
familiares impedem o acesso à ajuda de profissionais de saúde mental 2) investigar como o
estigma e as barreiras familiares afetam a diversidade e a frequência dos comportamentos
autolesivos (CAL) 3) explorar a correlação entre os conflitos familiares e barreiras familiares
com Estigma interno e a frequência/diversidade dos CAL. O primeiro objetivo origina a
primeira hipótese, que indica que os obstáculos familiares medeiam a correlação entre o
Estigma interno e o Estigma externo e a segunda hipótese indica que os jovens que não
pediram ajuda terão um Estigma interno maior do que aquele que pediram ajuda. O segundo
objetivo origina a terceira hipótese que indica o Estigma interno medeia a correlação entre o
Estigma externo e os CAL. Por fim, o terceiro objetivo origina a quarta hipótese de que o
vínculo negativo entre o conflito familiar e o Estigma interno é mediado por obstáculos
familiares e o Estigma externo, e a quinta hipótese é que a correlação positiva entre o conflito
familiar e os CAL é mediada por obstáculos familiares e Estigma interno. Participaram 877
adolescentes de escolas e faculdades de Portugal com idades entre os 12 e os 21 anos
(M=16,56, DP=1,955), mas apenas 763 completaram o questionário. Os participantes
preencheram um questionário que mede o Estigma interno, o Estigma externo, os conflitos
familiares, os CAL e os pedidos de ajuda. Os resultados confirmam todas as hipóteses e
indicam que existe uma forte correlção entre o Estigma externo, o Estigma interno, os CAL e
o pedido de ajuda. Este estudo revela a importância das variáveis Estigma interno e do
Estigma externo em adolescentes. As limitações deste estudo incluem um desenho “crosssectional” que limita a inferência causal. Pesquisas futuras deverão incluir estudos
longitudinais
The objectives of this study were threefold: 1) investigate how stigma and family barriers impede access to help for emotional distress 2) investigate how stigma and family barriers affect the diversity and frequency of self-injurious behaviors (CAL) 3) explore the correlation between family conflicts and family barriers with internal stigma and the frequency/diversity of CALs. The first objective gives rise to the first hypothesis, which indicates that family obstacles mediate the correlation between internal stigma and external stigma and the second hypothesis indicates that young people who did not ask for help will have a greater internal stigma than those who asked for help. The second objective gives rise to the third hypothesis that indicates internal stigma mediates the correlation between external stigma and CAL. Finally, the third objective gives rise to the fourth hypothesis that the negative link between family conflict and internal stigma is mediated by family obstacles and external stigma, and the fifth hypothesis is that the positive correlation between family conflict and CAL is mediated by family obstacles and internal stigma. 877 adolescents from schools and colleges in Portugal aged between 12 and 21 participated (M=16.56, SD=1.955), but only 763 completed the questionnaire. Participants completed a questionnaire measuring internal stigma, external stigma, family conflicts, CALs and requests for help. The results confirm all hypotheses and indicate that there is a strong correlation between external stigma, internal stigma, CAL and the request for help. This study reveals the importance of the variable’s internal stigma and external stigma in adolescents. Limitations of this study include a “cross-sectional” design that limits causal inference. Future research should include longitudinal studies.
The objectives of this study were threefold: 1) investigate how stigma and family barriers impede access to help for emotional distress 2) investigate how stigma and family barriers affect the diversity and frequency of self-injurious behaviors (CAL) 3) explore the correlation between family conflicts and family barriers with internal stigma and the frequency/diversity of CALs. The first objective gives rise to the first hypothesis, which indicates that family obstacles mediate the correlation between internal stigma and external stigma and the second hypothesis indicates that young people who did not ask for help will have a greater internal stigma than those who asked for help. The second objective gives rise to the third hypothesis that indicates internal stigma mediates the correlation between external stigma and CAL. Finally, the third objective gives rise to the fourth hypothesis that the negative link between family conflict and internal stigma is mediated by family obstacles and external stigma, and the fifth hypothesis is that the positive correlation between family conflict and CAL is mediated by family obstacles and internal stigma. 877 adolescents from schools and colleges in Portugal aged between 12 and 21 participated (M=16.56, SD=1.955), but only 763 completed the questionnaire. Participants completed a questionnaire measuring internal stigma, external stigma, family conflicts, CALs and requests for help. The results confirm all hypotheses and indicate that there is a strong correlation between external stigma, internal stigma, CAL and the request for help. This study reveals the importance of the variable’s internal stigma and external stigma in adolescents. Limitations of this study include a “cross-sectional” design that limits causal inference. Future research should include longitudinal studies.
Description
Dissertação de Mestrado apresentada no ISPA – Instituto
Universitário para obtenção de grau de
Mestre na especialidade de Mestre em
Psicologia Clínica
Keywords
Adolescência CAL Estigma externo Estigma interno Conflitos e barreiras familiares Pedido de ajuda Adolescence CAL Internal stigma External stigma Family barriers and struggles Request for help